Abstract
Inadvertent line insertion into the subclavian artery is an uncommon complication of subclavian venous catheterisation and its timely recognition is vital to minimise the risk of harm to the patient. We describe a patient who had an inadvertent subclavian arterial cannulation which was recognised within the first hour of insertion and subsequently removed without complications.
Highlights
We report a case in which the right subclavian artery was accidentally catheterised during attempted subclavian venous cannulation
A second monitor was brought and CVP transduction was attempted. It revealed an arterial waveform giving the suspicion of inadvertent subclavian artery cannulation
The following day morning (12 hours have elapsed since administering enoxaparin) the patient was seen by the vascular surgeon
Summary
H Hannadige1*, S Jayathilaka[2] Registrar[1], Consultant Anaesthetist[2], National Hospital of Sri Lanka, Sri Lanka. Inadvertent line insertion into the subclavian artery is an uncommon complication of subclavian venous catheterisation and its timely recognition is vital to minimise the risk of harm to the patient. We describe a patient who had an inadvertent subclavian arterial cannulation which was recognised within the first hour of insertion and subsequently removed without complications.
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